{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:52:08Z","timestamp":1791971528696,"version":"4.3.4"},"reference-count":32,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"vor","delay-in-days":65,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Intensive Care"],"published-print":{"date-parts":[[2026]]},"DOI":"10.1016\/j.aicoj.2026.100050","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T13:40:28Z","timestamp":1773754828000},"page":"100050","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Determinants of time to decannulation and predictors of early weaning from tracheostomy: a multicenter, retrospective Italian cohort study"],"prefix":"10.1016","volume":"16","author":[{"given":"Dejan","family":"Radovanovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiano","family":"Di Marco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Mondoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Crimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Gramegna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Gatti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Camilo","family":"Signorello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Raimondi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Albrici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Morana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Bruno Arturo","family":"Blasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierachille","family":"Santus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.aicoj.2026.100050_bib0005","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1001\/jama.2013.159","article-title":"Effect of pressure support vs unassisted breathing through a tracheostomy collar on weaning duration in patients requiring prolonged mechanical ventilation: a randomized trial","volume":"309","author":"Jubran","year":"2013","journal-title":"JAMA"},{"issue":"12","key":"10.1016\/j.aicoj.2026.100050_bib0010","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1164\/rccm.201806-1131OC","article-title":"Long-term outcome after prolonged mechanical ventilation. A long-term acute-care hospital study","volume":"199","author":"Jubran","year":"2019","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0015","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1164\/rccm.201011-1887OC","article-title":"Characteristics and outcomes of ventilated patients according to time to liberation from mechanical ventilation","volume":"184","author":"Pe\u00f1uelas","year":"2011","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0020","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.jcrc.2016.10.009","article-title":"Evidence-based guidelines for the use of tracheostomy in critically ill patients","volume":"38","author":"Raimondi","year":"2017","journal-title":"J Crit Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0025","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.4187\/respcare.10551056","article-title":"Tracheostomy: why, when, and how?","volume":"55","author":"Durbin","year":"2010","journal-title":"Respir Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0030","doi-asserted-by":"crossref","first-page":"895","DOI":"10.4187\/respcare.02971","article-title":"Tracheostomy: epidemiology, indications, timing, technique, and outcomes","volume":"59","author":"Cheung","year":"2014","journal-title":"Respir Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0035","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4187\/respcare.08869","article-title":"An interdisciplinary approach to the management of individuals with tracheostomy","volume":"67","author":"Alhashemi","year":"2022","journal-title":"Respir Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0040","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1186\/1471-2466-14-201","article-title":"A systematic review on tracheostomy decannulation: a proposal of a quantitative semiquantitative clinical score","volume":"15","author":"Santus","year":"2014","journal-title":"BMC Pulm Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0045","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1186\/s13643-017-0634-0","article-title":"Tracheostomy decannulation methods and procedures in adults: a systematic scoping review protocol","volume":"6","author":"Kutsukutsa","year":"2017","journal-title":"Syst Rev"},{"key":"10.1016\/j.aicoj.2026.100050_bib0050","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40560-017-0234-z","article-title":"The practice of tracheostomy decannulation-a systematic review","volume":"5","author":"Singh","year":"2017","journal-title":"J Intensive Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0055","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.4187\/respcare.10551076","article-title":"Tracheostomy decannulation","volume":"55","author":"O\u2019Connor","year":"2010","journal-title":"Respir Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0060","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1002\/hed.20653","article-title":"Tracheostomy decannulation: implication on respiratory mechanics","volume":"29","author":"Dellweg","year":"2007","journal-title":"Head Neck"},{"key":"10.1016\/j.aicoj.2026.100050_bib0065","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1007\/s00134-002-1545-6","article-title":"Physiological effects of decannulation in tracheostomized patients","volume":"28","author":"Chadda","year":"2022","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0070","first-page":"809","article-title":"Acute neurorehabilitation: does a neurosensory and coordinated interdisciplinary programme reduce tracheostomy weaning time and weaning failure?","volume":"34","author":"Berney","year":"2014","journal-title":"Neuro Rehabilitation"},{"key":"10.1016\/j.aicoj.2026.100050_bib0075","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1111\/1460-6984.12231","article-title":"Patterns of return to oral intake and decannulation post-tracheostomy across clinical populations in an acute inpatient setting","volume":"51","author":"Pryor","year":"2016","journal-title":"Int J Lang Commun Disord"},{"key":"10.1016\/j.aicoj.2026.100050_bib0080","doi-asserted-by":"crossref","first-page":"R26","DOI":"10.1186\/cc6802","article-title":"Determinants of tracheostomy decannulation: an international survey","volume":"12","author":"Stelfox","year":"2008","journal-title":"Crit Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0085","doi-asserted-by":"crossref","first-page":"39","DOI":"10.3390\/jpm14010039","article-title":"Incidence of tracheal stenosis in ICU hospitalized COVID-19 patients: results from a prospective, observational, multicenter study","volume":"14","author":"Perroni","year":"2023","journal-title":"J Pers Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0090","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1016\/j.rmed.2010.01.003","article-title":"Tracheostomy in patients with long-term mechanical ventilation: a survey","volume":"104","author":"Marchese","year":"2010","journal-title":"Respir Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0095","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1002\/lary.25800","article-title":"Feasibility of a single-stage tracheostomy decannulation protocol with endoscopy in adult patients","volume":"126","author":"Cohen","year":"2016","journal-title":"Laryngoscope"},{"key":"10.1016\/j.aicoj.2026.100050_bib0100","doi-asserted-by":"crossref","DOI":"10.1177\/20406223221109655","article-title":"Incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning","volume":"13","author":"Ghiani","year":"2022","journal-title":"Ther Adv Chronic Dis"},{"key":"10.1016\/j.aicoj.2026.100050_bib0105","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.aucc.2008.10.002","article-title":"Tracheostomy decannulation failure rate following critical illness: a prospective descriptive study","volume":"22","author":"Choate","year":"2009","journal-title":"Aust Crit Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0110","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s00134-003-1689-z","article-title":"Weaning from tracheotomy in long-term mechanically ventilated patients: feasibility of a decisional flowchart and clinical outcome","volume":"29","author":"Ceriana","year":"2003","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0115","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1177\/000348940311201005","article-title":"Decannulation and survival following tracheostomy in an intensive care unit","volume":"112","author":"Leung","year":"2003","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.aicoj.2026.100050_bib0120","doi-asserted-by":"crossref","first-page":"278","DOI":"10.4037\/ajcc2009575","article-title":"Peak flow rate during induced cough: a predictor of successful decannulation of a tracheotomy tube in neurosurgical patients","volume":"19","author":"Chan","year":"2010","journal-title":"Am J Crit Care"},{"key":"10.1016\/j.aicoj.2026.100050_bib0125","first-page":"207","article-title":"How to decannulate tracheostomized severe head trauma patients: a comparison of gradual vs abrupt technique","volume":"14","author":"Shrestha","year":"2012","journal-title":"Nepal Med Coll J"},{"key":"10.1016\/j.aicoj.2026.100050_bib0130","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.1097\/CCM.0b013e31828a4626","article-title":"Standardized endoscopic swallowing evaluation for tracheostomy decannulation in critically ill neurologic patients","volume":"41","author":"Warnecke","year":"2013","journal-title":"Crit Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0135","doi-asserted-by":"crossref","first-page":"1794","DOI":"10.1002\/lary.24625","article-title":"Utilization of a standardized tracheostomy capping and decannulation protocol to improve patient safety","volume":"124","author":"Pandian","year":"2014","journal-title":"Laryngoscope"},{"key":"10.1016\/j.aicoj.2026.100050_bib0140","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1056\/NEJMoa2010834","article-title":"High-flow oxygen with capping or suctioning for tracheostomy decannulation","volume":"383","author":"Hern\u00e1ndez Mart\u00ednez","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0145","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s00134-013-2870-7","article-title":"The effects of increasing effective airway diameter on weaning from mechanical ventilation in tracheostomized patients: a randomized controlled trial","volume":"39","author":"Hernandez","year":"2013","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0150","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1007\/s00134-006-0439-4","article-title":"Variable performance of weaning-predictor tests: role of Bayes\u2019 theorem and spectrum and test-referral bias","volume":"32","author":"Tobin","year":"2006","journal-title":"Intensive Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0155","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1164\/ajrccm.150.4.7921460","article-title":"Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation","volume":"150","author":"Brochard","year":"1994","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.aicoj.2026.100050_bib0160","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1056\/NEJM199502093320601","article-title":"A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group","volume":"332","author":"Esteban","year":"1995","journal-title":"N Engl J Med"}],"container-title":["Annals of Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2110582026000853?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2110582026000853?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:23:10Z","timestamp":1791969790000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2110582026000853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":32,"alternative-id":["S2110582026000853"],"URL":"https:\/\/doi.org\/10.1016\/j.aicoj.2026.100050","relation":{},"ISSN":["2110-5820"],"issn-type":[{"value":"2110-5820","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Determinants of time to decannulation and predictors of early weaning from tracheostomy: a multicenter, retrospective Italian cohort study","name":"articletitle","label":"Article Title"},{"value":"Annals of Intensive Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aicoj.2026.100050","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Masson SAS on behalf of Soci\u00e9t\u00e9 de R\u00e9animation de Langue Fran\u00e7aise (French Intensive Care Society).","name":"copyright","label":"Copyright"}],"article-number":"100050"}}